Individual provider Active NPI

Trista Rosing

  • Student in an Organized Health Care Education/Training Program
  • Williamsburg, MI
National Provider Identifier
1912563479
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
5423 Williamsburg Rd
Williamsburg, MI 49690
Phone
(559) 676-1470
NPI assigned
May 10, 2019
Last updated
May 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

5423 Williamsburg Rd
Williamsburg, MI 49690

Mailing address

5423 Williamsburg Rd
Williamsburg, MI 49690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201125001651 NV Order and Referring Only - General SurgeryPractitioner - General Surgery 6608287503

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Michigan State University College of Human Medicine, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

815 NW 9TH St
Suite 215
Corvallis, OR 97330-6173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1912563479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5423 WILLIAMSBURG RD",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "49690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5423 WILLIAMSBURG RD",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "49690",
            "telephone_number": "559-676-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSING",
        "first_name": "TRISTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, MI

Sources for this page

Verify at the official NPI Registry.